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Systematic Review

Prevalence of Frailty among Community-Dwelling Older Adults in Asian Countries: A Systematic Review and Meta-Analysis

1
College of Public Health, China Medical University, Taichung 406040, Taiwan
2
Faculty of Nursing, Duy Tan University, Danang 550000, Vietnam
3
Department of Rehabilitation, Quang Nam Northern Mountainous Region General Hospital, Quang Nam 560000, Vietnam
4
School of Nursing, China Medical University, Taichung 406040, Taiwan
5
Department of Nursing, China Medical University Hospital, Taichung 404332, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Robbert Gobbens
Healthcare 2022, 10(5), 895; https://doi.org/10.3390/healthcare10050895
Received: 23 March 2022 / Revised: 4 May 2022 / Accepted: 10 May 2022 / Published: 12 May 2022
(This article belongs to the Special Issue Frailty in Community-Dwelling Older People)
This study aimed to synthesize frailty prevalence among community-dwelling older adults in Asia and identify factors influencing prevalence estimates. Five electronic databases were searched by 29 April 2022, including representative samples of community-dwelling adults who were aged 60 years and older and lived in Asia. Cross-sectional or national longitudinal population-based cohort studies completed with validated instruments were selected. Twenty-one studies with 52,283 participants were included. The pooled prevalence rate of frailty was 20.5% (95% CI = 15.5% to 26.0%). The estimated frailty prevalence was 14.6% (95% CI = 10.9% to 18.8%) while assessed by the Fried frailty phenotype, 28.0% (95% CI = 21.3% to 35.3%) by the Cumulative Frailty Index, 36.4% (95% CI = 33.6% to 39.3%) by the Study of Osteoporotic Fractures (SOF) index, and 46.3% (95% CI = 40.1% to 52.4%) by the Clinical Frailty Scale (p < 0.01). Subgroup analysis in studies using the Fried’s phenotype tool found that frailty prevalence was increased with older age (p = 0.01) and was higher in those who were single (21.5%) than in married participants (9.0%) (p = 0.02). The study results supported a better understanding of frailty prevalence in different geographical distributions and provide references for health policy decision-making regarding preventing frailty progression in older adults. View Full-Text
Keywords: frailty; prevalence; older adults; community dwelling; systematic review; meta-analysis frailty; prevalence; older adults; community dwelling; systematic review; meta-analysis
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MDPI and ACS Style

To, T.-L.; Doan, T.-N.; Ho, W.-C.; Liao, W.-C. Prevalence of Frailty among Community-Dwelling Older Adults in Asian Countries: A Systematic Review and Meta-Analysis. Healthcare 2022, 10, 895. https://doi.org/10.3390/healthcare10050895

AMA Style

To T-L, Doan T-N, Ho W-C, Liao W-C. Prevalence of Frailty among Community-Dwelling Older Adults in Asian Countries: A Systematic Review and Meta-Analysis. Healthcare. 2022; 10(5):895. https://doi.org/10.3390/healthcare10050895

Chicago/Turabian Style

To, Thi-Lien, Thanh-Nhan Doan, Wen-Chao Ho, and Wen-Chun Liao. 2022. "Prevalence of Frailty among Community-Dwelling Older Adults in Asian Countries: A Systematic Review and Meta-Analysis" Healthcare 10, no. 5: 895. https://doi.org/10.3390/healthcare10050895

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